person
David J Ellingson, PA
Surgical Physician Assistant in Tavares, Florida
NPI 1144228685

David J Ellingson is a Surgical Physician Assistant based in Tavares, FL and is specialized in Surgical. David J Ellingson practices in Tavares, FL and has the professional credentials of PA. The NPI Number for David J Ellingson is 1144228685 and holds a License No. PA9102690 (Florida).

The current practice location address for David J Ellingson is 3120 Waterman Way, Tavares, FL and can be reached out via phone at 352-343-1216 and via fax at 352-343-1582. You can also correspond with David J Ellingson through the mailing address at 3120 WATERMAN WAY, TAVARES, FL - 32778-5252 (mailing address contact number: 352-343-1216).

Location: 3120 Waterman Way, Tavares, FL, 32778-5252
person
Provider Profile Details
NPI Number
1144228685
Provider Name
David J Ellingson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3120 Waterman Way, Tavares, FL, 32778-5252
Phone Number
352-343-1216
Fax Number
352-343-1582
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291796300 05 FL
institution
Provider Business Practice Location Address Details
Address
3120 Waterman Way
City
State
Zip
32778-5252
Phone Number
352-343-1216
Fax Number
352-343-1582
person
Provider Business Mailing Address Details
Address
3120 Waterman Way
City
State
Zip
32778-5252
Phone Number
352-343-1216
Fax Number
352-343-1582
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9102690 (Florida)
Definition
Definition to come...
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